Recently Answered Questions
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Why do I have high platelet count?
Query: Hello doctor, Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity). Let me tell you that you have a high platelet count in your CBC (complete blood count) report. The cause can be primary or secondary reactive. Sometimes following infections, p... Read Full »
Why does bone marrow aspiration and biopsy report differ?
Query: Hi doctor, Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micro-megakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micro megakaryocytes. So, it is a myeloproliferative condition. Here, cli... Read Full »
I have 3.5 pack years smoking history. Can I get leukemia?
Query: Hello doctor, I am 29 years old and I am a former smoker. I smoked half a pack a day from the age of 19 to 26 years (3.5 pack years). I stopped smoking three years ago. I also had three CT scans in my life that totaled just a little over 9 mSv. for some reason. I have attached the CT scan reports. I... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen your CT scans (attachment removed to protect patient identity). As of now, you are not having any symptoms and CT (computed tomography) scans reveal no mass as well. So you are not having cancer as per the history. The risk cannot be predicted when the ... Read Full »
Can ITP cause low hemoglobin and iron levels in my daughter?
Query: Hello doctor,My 21-year-old daughter suffered from ITP, two years back. Her hemoglobin and iron are low again, so she started taking Orofer. Her hemoglobin is 10.3 g/dL and her iron is 25. The platelet count is fine. Please help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. According to the history provided, it is a case of anemia. Here hemoglobin level is low and serum iron level is also low. Hence, it is suggestive of iron-deficiency anemia. But for proper workup, I need to know peripheral smear examination report with CBC (complete blo... Read Full »
Query: Hello doctor,I have three abnormal CBC reports that were taken in an interval of 15 days. The reports show high lymphocytes and low neutrophils, but WBC is within the normal range. But I am totally fit and fine. My physician suggested I take a peripheral blood smear test. The results of the test wer... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. You have not mentioned how much high lymphocytosis was present. I would like to know your absolute lymphocyte count (ALC) to give a more precise comment. ALC can be calculated from the total WBC (white blood cells) count. You a... Read Full »
What Is The Reason For High Monocyte and Eosinophil?
Query: Hi doctor, My blood reports show high monocytes and eosinophils for over two years of span. I feel there is no energy, muscle spasms, splenomegaly, muscle pain, and malaise. I am seropositive RA. But, my CRP and ESR are normal most of the time. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Rheumatoid arthritis is one of the causes for high monocyte count and multisystemic involvement. Hence, treatment for that is nonsteroidal anti-inflammatory drugs and disease modifying drugs like Leflunomide, etc. The high eosinophil count causes include allergy, ... Read Full »
Why is the white blood cell count raised in a teenager?
Query: Hello doctor, My 16 years old son had a routine CBC performed as part of his physical for summer camp. His white blood count came back low 3.4 thousand/uL (reference 4.5 to 13.0), absolute neutrophils 1445 cells/uL (reference 1800 to 8000), neutrophils 42.5 %. He has always been very healthy and h... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not... Read Full »
Elliptocytes and ovalocytes are present in blood smear. Why?
Query: Hello doctor, This is for my mother who I have been concerned about. Would her reports seem acceptable for a smear slide examination? Anisocytosis 1+, ellliptocytes present, ovalocytes present. She developed memory and confusion issues within a month and has a heart valve issue with an ECG that was ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Anisocytosis, elliptocytes all can be seen in anemia case. In iron deficiency anemia also it can be seen. So, you should check her hemoglobin level and HCT level. Do not worry about that. With the treatment of anemia, usually, it disappears. Read Full »
My three months old baby's spleen is 0.78 inches larger than the required size. Is it harmful?
Query: Hello doctor, My baby is three months old. His spleen is 3.14 inches and the required size said by doctors is 2.36 inches. I want to ask if it is harmful to him or if any serious medication is required. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com Your child's spleen is mildly enlarged. For that, his CBC (complete blood count) and peripheral smear examination report can be done, which will rule out any hemolytic anemia disease if present. If peripheral smear examination is suspicious of hemolysis then serum LDH... Read Full »
What is the cause for low platelet count?
Query: Hi doctor, God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blo... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hydration. Your peripheral smear examination, a liver profile is a... Read Full »